Fillable Form 2020: CHESTERFIELD COUNTY, VIRGINIA (Chesterfield County, VA)

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Form 2020: CHESTERFIELD COUNTY, VIRGINIA (Chesterfield County, VA)

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CHESTERFIELD COUNTY, VIRGINIA
Application for Business License
Office of the Commissioner of the Revenue
P. O. Box 124
Chesterfield, VA 23832-0908
Tel: (804) 748-1281 Fax: (804)796-3236
cor@chesterfield.gov www.chesterfield.gov/comrev
Jenefer S. Hughes, MBA, ACA
Commissioner of the Revenue
2020
** IMPORTANT **
Renewal application must
be filed and tax paid in full
by 03/02/2020. 2020
licenses will expire on
12/31/2020.
FEIN or SSN #
Name
Trade
Name
Mailing
Address
Local Address
(No PO Boxes
or mail drops)
Telephone #
E-mail address*
Local Ph. #
Account #
Shaded area is FOR OFFICE USE ONLY.
Date Filed Date Processed Payment Amount
$
START DATE
in Chesterfield County:
FISCAL YEAR, if applicable,
(beginning & end dates):
OUT OF BUSINESS date
in Chesterfield County:
TYPE
OF
ENTITY
SOLE PROPRIETOR
CORPORATION
PARTNERSHIP
LLC
____________ through ____________
ABC number: ______________________ Important: Any alcohol sales MUST be included in total gross receipts reported for retail merchants. See back.
CONTRACTORS: Important: Contractors MUST attach a list of subcontractors AND a list of deductions taken for work in other
State Board # ______________________ localities. See back for more details.
LICENSE CLASSIFICATIONS
DESCRIPTION DESCRIPTION# #
01
02
03
04
LICENSE TAX CALCULATION
2019 GROSS RECEIPTS**
(Or estimate for 2020 if business began after 1/1/2019)
Exclusion. Enter $300,000 per license ONLY if Line 1 ≥ $300,000.
ADJUSTED GROSS RECEIPTS** (Line 1 - Line 2)
TAX RATE (If applicable. See reverse.)
2020 TAX (Line 3 x Line 4) or FEE (See reverse.)
IF START DATE IN CHESTERFIELD COUNTY WAS AFTER 1/1/2018, COMPLETE LINES 6 - 12; OTHERWISE, SKIP TO LINE 13.
2019 ESTIMATED gross receipts**
2019 ACTUAL gross receipts**
Exclusion. Enter $300,000 per license ONLY if Line 7 ≥ $300,000.
2019 ADJUSTED ACTUAL gross rec.** (Line 7- Line 8)
2019 TAX (Line 9 x 2019 tax rate) or FEE
Less: 2019 tax PAID
Net difference for 2019 (Line 10 - Line 11)
TOTAL TAX or FEE (Line 5 + Line 12)
LATE PENALTY (10% , $ 2 minimum per license year.)
INTEREST (10% per yr., 1/12 monthly the first of each month.)
TOTAL DUE (Add Lines 13 through 15.)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
LICENSE 01 LICENSE 02 LICENSE 03 LICENSE 04
TOTALS
* By providing your e-mail address, you are agreeing to receive Chesterfield County e-mail correspondence. Your address will not be shared with third parties.
** For WHOLESALE MERCHANT licenses, enter gross PURCHASES rather than gross receipts.
DECLARATION BY TAXPAYER - I declare that the foregoing statements and figures are true, full, and correct to the best of my knowledge and belief.
I understand that even though the County may issue the license(s) herein applied for, it is the applicant’s responsibility to confirm with the County’s Planning
Department that the location listed above is properly zoned for the licensable activities being conducted there.
PLEASE PRINT NAME SIGNATURE DATE
click to sign
signature
click to edit
LICENSE FEE SCHEDULE
FOR BUSINESS LICENSE CLASSIFICATIONS WITH GROSS RECEIPTS* LESS THAN $300,000
Gross Receipts* Range License Fee
$0.00 - $9,999.99 -0-
$10,000.00 - $299,999.99 $10.00
Note: This fee schedule applies separately to each license classification.
LICENSE TAX SCHEDULE
FOR BUSINESS LICENSE CLASSIFICATIONS WITH GROSS RECEIPTS* OF $300,000 OR MORE
Rate
License Classification Basis Factor Minimum Tax
Professional Service Gross Receipts .0020 $10.00
Financial Service Gross Receipts .0020 $10.00
Note: Maximum tax for the Financial Service classification is $90,000.00.
Real Estate Service Gross Receipts .0020 $10.00
Utility Service Gross Receipts .0050 $10.00
Personal or Business Service Gross Receipts .0020 $10.00
Computer Service Gross Receipts .0003 $10.00
Commission Merchant Gross Receipts .0020 $10.00
Merchandise Broker Gross Profit .0020 $10.00
Amusement Machine Operator (coin-operated) Gross Receipts .0020 $10.00
Repair Service Gross Receipts .0020 $10.00
Retail Merchant Gross Receipts .0019 $10.00
Gasoline/Diesel retailers: Total of all retail gross receipts: $_____________ LESS excise taxes paid: $___________ = $_____________
(including non-gas receipts) (Line 1 on front)
Direct Seller - Retail Gross Receipts .0019 $10.00
Merchant Placing Vending Machines Gross Receipts .0019 $10.00
Amusement/Admissions Gross Receipts .0019 $10.00
Contractor Gross Receipts .0014 $10.00
Note: Contractors must attach a list of any deductions claimed for work done in other localities where licenses were obtained, AND a separate
list of all subcontractors used for jobs in Chesterfield County during 2019, including contact information, job locations, and total
amounts paid to each. [Chesterfield County Code § 6-25(c).] Speculative builders must attach a list of completed projects.
Wholesale Merchant Gross Purchases .0010 $10.00
Note: Maximum tax for the Wholesale Merchant classification is $20,000.00.
Direct Seller - Wholesale Gross Receipts .0005 $10.00
Note: Direct Seller categories apply only to consumer products sold in private residences.
FLAT FEES
FOR BUSINESS LICENSE CLASSIFICATIONS WITH FEES NOT RELATED TO GROSS RECEIPTS OR PURCHASES
License Classification
Alcoholic Beverage - Beer & Wine Sales
Alcoholic Beverage - Mixed Beverage Sales
Seating Capacity:
Vendor Event**
**Minimum of five vendors required
(Max. $100.00 per year, per site)
Flat Fee Amount
$20.00
1 - 100 $200.00
101 - 150 $350.00
over 150 $500.00
$25.00
Flat Fee Amount
$50.00
$250.00
$100.00
$25.00
$250.00
License Classification
Itinerant Merchant - Edible Perishables
Itinerant Merchant - Goods, Wares, Merchandise
Night Club Operator
Peddler - Up to 30 minutes in one place
Peddler - Others, up to 8 hours in one place
IMPORTANT for ABC sales: Alcohol (ABC) sales MUST be included within total retail sales (gross receipts), including restaurant retail.
Total Alcohol sales ________________ + total other sales ____________________ = total retail gross receipts __________________.
ADDITIONAL INSTRUCTIONS
• If your business does not fit one of the above classifications or if you have any questions concerning your license classification, please call
(804) 748-1281.
• The basis for gross receipts* reporting is the calendar year. Businesses who reported here on a fiscal year basis (other than calendar year)
as of January 1, 2010, may continue to do so. All other businesses must report using a calendar year basis.
• Gross receipts* must be reported using the same method of accounting (cash or accrual) as used for federal income tax purposes.
• Renewal applications and payments must be received or postmarked on or before 03/02/2020 to avoid late charges. Applications and
payments for new businesses must be received or postmarked within 30 days of beginning business in order to avoid late charges.
Make checks payable to: TREASURER, Chesterfield County.
* For WHOLESALE MERCHANT licenses, enter gross PURCHASES rather than gross receipts.
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Form 2020: CHESTERFIELD COUNTY, VIRGINIA (Chesterfield County, VA)

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Completed 2 August 2020

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